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Gastric Plication vs. Sleeve: What to Know

Gastric plication is an emerging weight loss procedure that offers an alternative to traditional bariatric surgeries. This minimally invasive technique involves folding the stomach to reduce its volume, thus limiting food intake. The procedure has gained attention for its potential benefits. It includes being less invasive and more affordable than other bariatric surgeries.

In this guide, we’ll explore what plication is, discuss the endoscopic version. Then, we will consider whether it’s reversible, and compare it to the gastric sleeve procedure. We’ll also cover the expected results, costs, and what patients can expect before and after the surgery.

What is Gastric Plication?

It is a weight loss surgery that involves stitching the stomach to reduce its size. Unlike other procedures, it does not involve removing any part of the stomach. This procedure creates a smaller stomach pouch, which limits the amount of food a person can eat and promotes weight loss.

Unlike other bariatric surgeries like gastric bypass or sleeve gastrectomy, plication does not involve cutting or stapling the stomach or intestines. This makes it a less invasive option.

Endoscopic Gastric Plication

Endoscopic gastric plication is a variation of the traditional procedure, where the stomach is folded and sutured using an endoscope—a flexible tube with a camera and tools inserted through the mouth. This approach is minimally invasive and can be performed without any external incisions, which often results in a quicker recovery and less risk of complications compared to open or laparoscopic surgery.

Is Gastric Plication Reversible?

One of the key questions potential patients often ask is, “Is it reversible?” The answer is yes; it is considered a reversible procedure. The sutures used to fold the stomach can be removed, and the stomach can return to its original size and shape. This reversibility is one of the factors that make this surgery an appealing option for some patients, as it offers flexibility if the patient experiences complications or if the procedure does not yield the desired results.

Gastric Plication Before and After: What to Expect

Patients considering gastric plication often seek information about the expected results and how the procedure will affect their lives. Gastric plication before and after photos and testimonials can provide valuable insights into the potential outcomes.

Before the Procedure:

  • Patients typically undergo a thorough evaluation, including medical history, physical examination, and nutritional and psychological assessments.
  • They may be required to follow a pre-operative diet to reduce liver size and improve surgical access.
  • The medical team will provide detailed instructions on preparing for the surgery, including dietary restrictions and medications to avoid.

After the Procedure:

  • Recovery time is generally shorter than with more invasive surgeries. Most patients can return to normal activities within a few weeks.
  • A strict post-operative diet must be followed, starting with liquids and gradually progressing to solid foods.
  • Regular follow-up visits with the healthcare provider are crucial to monitor progress, nutritional intake, and overall health.

Gastric Plication Cost

The cost of gastric plication can vary significantly based on factors such as the surgeon’s experience, the clinic’s location, and the type of procedure (traditional or endoscopic). Gastric plication cost is generally lower than other bariatric surgeries like gastric bypass or sleeve gastrectomy. This cost advantage, along with its less invasive nature, makes this procedure an attractive option for those seeking weight loss surgery.

  • Plication: Approximately €3,600  
  • Sleeve: Approximately €5,900  

Gastric Plication vs. Sleeve: A Comparison

When comparing gastric plication vs. sleeve gastrectomy, several factors come into play, including the nature of the procedures, potential benefits, risks, and outcomes.

Gastric Plication:

  • Involves folding and stitching the stomach without removing any part.
  • Considered less invasive with fewer complications.
  • Reversible, offering flexibility if needed.
  • Lower cost compared to other bariatric procedures.

Sleeve Gastrectomy:

  • Involves removing a large portion of the stomach, leaving a tube-shaped “sleeve.”
  • Typically results in more significant weight loss.
  • Not reversible, as part of the stomach is permanently removed.
  • Generally associated with higher costs and a longer recovery period.

Both procedures can be effective for weight loss, but the choice between them depends on individual patient factors, including medical history, weight loss goals, and personal preferences.

In conclusion, endoscopic gastric plication is a promising option for individuals seeking a less invasive, reversible, and cost-effective weight loss surgery. Understanding the differences between gastric plication and other procedures, such as the gastric sleeve, is crucial in making an informed decision. Always consult with a qualified healthcare provider to discuss the best options for your specific needs and goals.

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